Examination of the Anus and Rectum Under Anesthesia
Hawaii rates for HCPCS 45990
A thorough examination of the anus and rectum carried out with the patient anesthetised, so the area can be inspected and felt properly without pain or muscle guarding. It usually takes in the skin around the anus, an internal examination by finger, and a look inside with a short instrument. It is arranged when pain, spasm or distress makes a complete examination impossible in a clinic room.
Rates data updated July 2026.
How much does Examination of the Anus and Rectum Under Anesthesia cost?
$148
Typical facility fee. In Hawaii, July 2026.
Insurers have agreed to pay about $148 for this service. Most negotiated rates run $117 to $1,738.
These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.
How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,148 to $3,890Professionalmedian $117 · 10th to 90th $98 to $162
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,818.38
Typical High
$3,890.45
Facility
Global
$1,148.15
$2,818.38
$3,890.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Facility
Global
$1,096.48
$1,096.48
$1,096.48
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$117.49
Typical High
$162.18
Professional
Global
$97.72
$117.49
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Facility
Global
$1,737.80
$1,737.80
$1,737.80
Where Hawaii sits
The same service costs 42.7 times more in Indiana than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.